Abstract
Objective: To address the challenges of primary health care in Brazil and the lack of humanization in the treatment and reception of transvestites and transsexuals. Methods: This is a scientific analysis that highlights the scarcity of programs that encourage humanization and professional preparation for the first care in programs linked to primary care in Brazil. Such populations lack not only a diagnosis or physical treatment, but a humane and measured approach. The inability of the majority of professionals who participate in the first contact also rises. The language used, the differentiation in treatment and the multiple constraints that can undermine the confidence of these patients and even keep them from the aegis of public health. The need for an environment that contemplates new clinical approaches will also be analyzed, in order to avoid shyness and promote greater acceptance by the professional body. Conclusion: Point out the needs that surround first attention to transsexual and transvestite patients and guarantee them humane and dignified treatment.